Ahmed R M, Paterson R W, Warren J D, Zetterberg H, O'Brien J T, Fox N C, Halliday G M, Schott J M
Neuroscience Research Australia and the University of NSW, Sydney, New South Wales, Australia.
Dementia Research Centre, University College London Institute of Neurology, National Hospital for Neurology and Neurosurgery, London, UK.
J Neurol Neurosurg Psychiatry. 2014 Dec;85(12):1426-34. doi: 10.1136/jnnp-2014-307662. Epub 2014 Sep 26.
Imaging, cerebrospinal fluid (CSF) and blood-based biomarkers have the potential to improve the accuracy by which specific causes of dementia can be diagnosed in vivo, provide insights into the underlying pathophysiology, and may be used as inclusion criteria and outcome measures for clinical trials. While a number of imaging and CSF biomarkers are currently used for each of these purposes, this is an evolving field, with numerous potential biomarkers in varying stages of research and development. We review the currently available biomarkers for the three most common forms of neurodegenerative dementia, and give an overview of research techniques that may in due course make their way into the clinic.
影像学、脑脊液(CSF)和血液生物标志物有潜力提高在体内诊断痴呆症特定病因的准确性,深入了解潜在的病理生理学,并且可用作临床试验的纳入标准和结果指标。虽然目前有多种影像学和脑脊液生物标志物用于上述每一个目的,但这是一个不断发展的领域,有众多潜在生物标志物处于不同的研发阶段。我们综述了目前可用于三种最常见形式神经退行性痴呆的生物标志物,并概述了可能最终进入临床的研究技术。